[Sources of errors and pitfalls in tuberculosis diagnosis].
Three cases of tuberculosis infection are presented (spondylitis, meningitis, pericarditis). Pitfalls and blunders delaying tuberculosis diagnosis are reported. The authors emphasize that: Children at risk have to be vaccinated with BCG (1.1). Health professionals must repeatedly be taught in the interpretation of tuberculin test results and chest X-rays. Tuberculous meningitis may be hidden by the presentation of only encephalitis symptoms and liquor analysis reveals an atypical result (3). Spontaneous resolution of the symptoms or an improvement under non-tuberculostatic therapy does not exclude tuberculosis. In fact encephalitic signs may improve or disappear spontaneously despite subsequent positive liquor culture (4).
Amacher
A
A
Universitäts-Kinderklinik, Basel.
Rutishauser
M
M
D000293:Adolescent; D001500:BCG Vaccine / Q000627:therapeutic use; D002675:Child, Preschool; D003937:Diagnosis, Differential; D003951:Diagnostic Errors; D005260:Female; D006801:Humans; D008297:Male; D010495:Pericarditis, Tuberculous / Q000175:diagnosis; D014374:Tuberculin Test; D014376:Tuberculosis / Q000175:diagnosis*; D014390:Tuberculosis, Meningeal / Q000175:diagnosis; D014399:Tuberculosis, Spinal / Q000175:diagnosis
D001500:BCG Vaccine
Fehlerquellen und Pannen bei der Tuberkulosediagnostik.